TIPTON COUNTY INTEGRATED MEDICINE NPI 1093265605

NPI Information

  • NPI: 1093265605
  • Provider Name: TIPTON COUNTY INTEGRATED MEDICINE
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 44D0925810
  • Address: 201 W PLEASANT AVENUE
    COVINGTON, TN
    ZIP 38019
  • Phone: (901) 475-1100

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NPI Details

TIPTON COUNTY INTEGRATED MEDICINE is a general practice in Covington, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TIPTON COUNTY INTEGRATED MEDICINE NPI is 1093265605. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 W PLEASANT AVENUE
COVINGTON, TN
ZIP 38019-538
Phone: (901) 475-1100

The provider's authorized official is Breck Beasley .
The authorized official title is Manager and has the following contact phone number (901) 475-1100.

The CLIA number assigned to this NPI record is 44D0925810 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2016 and was last updated on 3/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2363L00000XNurse PractitionerNo
3208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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